NPIMap

Organization Active NPI

National Council on Alcoholism Greater Phoenix Area

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1437195906
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
BH1887 Issued in AZ
Legal business name
NATIONAL COUNCIL ON ALCOHOLISM GREATER PHOENIX AREA
Practice address
4201 N 16TH St
Suite 140
Phoenix, AZ 85016-5347
Phone
(602) 264-6214
Fax
(602) 265-2102
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda Koziba
Title
Cfo
Phone
(602) 264-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X BH1887 AZ Primary

Addresses

Primary practice location

4201 N 16TH St
Suite 140
Phoenix, AZ 85016-5347

Mailing address

4201 N 16TH St
Suite 140
Phoenix, AZ 85016-5347
Phone (602) 264-6214

National Provider Directory

National Provider Directory

Locations

4201 N 16th St
Ste 140
Phoenix, AZ 85016
Phone (602) 264-6214

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1437195906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 N 16TH ST",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165347",
            "telephone_number": "602-264-6214",
            "fax_number": "602-265-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N 16TH ST",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165347",
            "telephone_number": "602-264-6214",
            "fax_number": "602-265-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL COUNCIL ON ALCOHOLISM GREATER PHOENIX AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "KOZIBA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-264-6214"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "BH1887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.